| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $376.15 | $376.15 | $587.73 | |
Aetna
| Professional | $376.15 | $587.73 | $695.90 | |
BCBS
| Facility | $520.14 | $520.14 | $520.14 | |
BCBS
| Professional | $520.14 | $520.14 | $520.14 | |
Cigna
| Facility | $419.41 | $419.41 | $419.41 | |
Cigna
| Professional | $306.17 | $306.17 | $638.87 | |
United
| Professional | $223.24 | $334.86 | $529.66 |